AMBER FARRIS – Family Nurse Practitioner, NPI 1396561957

AMBER FARRIS is a healthcare provider. based in Haleyville, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-108853 (AL). The NPI Number for AMBER FARRIS is 1396561957

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
AMBER FARRIS
NPI
1396561957
Phone
(205) 485-7822
Address
1728 11TH AVE
Enumeration Date
28 November 2024
Last Update Date
30 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2054857822
Graduation Year
2024 (2 years ago)
PAC ID
4183149503
Group Practice PAC ID
3678947793
Professional Enrollment ID
I20250418000233
Address ID
AL355651506HA1728XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for AMBER FARRIS

  • 1728 11TH AVE

    HALEYVILLE, AL 355651506

    Phone: (205) 485-7822

    Fax: (833) 449-4072

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250418000233INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35565)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678947793View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for AMBER FARRIS?
AMBER FARRIS — NPI 1396561957 — is the standard way to identify this listing.
Is AMBER FARRIS still practicing?
AMBER FARRIS is currently listed as active in the public NPI registry.
What healthcare role does AMBER FARRIS hold?
Scheduling teams often label AMBER FARRIS under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect AMBER FARRIS on a map?
Expect Haleyville, Alabama as a primary anchor for AMBER FARRIS unless the record lists multiple sites.
Is the information about AMBER FARRIS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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